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General NPI Number Information
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NPI Number | 1750781100
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Entity Type | Organization
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Legal Business Name | THE NO FAMILY DENTAL PA
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 09/03/2014
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Provider Practice Location Address
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Address Line | 11924 W. FOREST HILL BLVD SUITE 10B
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-721-2680
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Fax | 561-721-2680
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Provider Business Mailing Address
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Address Line | 11924 W. FOREST HILL BLVD SUITE 10B
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City | WELLINGTON
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State | FL
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Zip | 33414
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Country | US
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Telephone | 561-721-2680
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Fax | 561-721-2680
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. TUONG AI NGO
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Credential | DDS
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Telephone | 561-307-4994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 16583
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License Number State | FL
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